| NPI | 1043218464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 49032071205) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: FL 120698) |
| Enumeration Date | 2005-07-09 |
| Last Update Date | 2020-03-09 |