| NPI | 1043487630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA ot011596) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX N1730) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2013-07-22 |