| NPI | 1174878656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NE 32293) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX Q3673) |
| 207P00000X Emergency Medicine (Licence: NM MD2019-0885) | |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2021-08-18 |