| NPI | 1114280401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q4356) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301101190) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2020-06-17 |