| NPI | 1104938422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 49648) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX M6681) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-04-20 |