| NPI | 1134220403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 28345) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2006008736) |
| 207P00000X Emergency Medicine (Licence: TX M6021) | |
| 207PE0004X Emergency Medicine Emergency Medical Services (Licence: TX M6021) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2011-05-25 |