| NPI | 1063438174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M9967) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A96059) |
| 207P00000X Emergency Medicine (Licence: PR 16382) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2016-03-11 |