| NPI | 1154331460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M5698) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101012530) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2022-07-21 |