| NPI | 1093753774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 269622-1205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WY 9906A) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2022-07-21 |