| NPI | 1164407128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q3566) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 3640) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2020-09-15 |