| NPI | 1124296132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P4966) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 046170) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2015-08-07 |