| NPI | 1174606123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME114790) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX Q5642) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2021-07-12 |