| NPI | 1225014038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 47328) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX L1059) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2022-11-09 |