| NPI | 1114376167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R9282) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301110079) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2019-07-22 |