| NPI | 1184838393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD.203095) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX P2480) |
| 174400000X Specialist (Licence: LA MD20395) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2021-06-11 |