| NPI | 1083901342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P9823) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101019323) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2018-10-08 |