| NPI | 1134145071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX G4028) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036064093) |
| 207P00000X Emergency Medicine (Licence: MI 5101007493) | |
| 207Q00000X Family Medicine (Licence: TX G4028) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2010-01-25 |