| NPI | 1164665287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX T3504) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 203919) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2022-01-25 |