| NPI | 1215954755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M1663) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 34812) |
| 207P00000X Emergency Medicine (Licence: NE 22275) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2013-04-25 |