| NPI | 1225290091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX T2029) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 262978) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2021-09-15 |