| NPI | 1053360214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M3713) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2005002608) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2021-01-11 |