| NPI | 1073709093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N3284) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 244973-1) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2013-05-22 |