| NPI | 1124259767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A114234) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX P2691) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2022-01-25 |