| NPI | 1154614303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q3228) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP02172) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2015-07-20 |