| NPI | 1225237167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N9032) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101017977) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2024-09-13 |