| NPI | 1205842341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N1500) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI MD11224) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2024-09-16 |