| NPI | 1033591144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX T3141) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301108346) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2021-10-13 |