| NPI | 1225387152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A149835) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10041009) |
| 207P00000X Emergency Medicine (Licence: TX Q0339) | |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2021-02-04 |