| NPI | 1215224860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P9701) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301098661) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2023-08-31 |