| NPI | 1235420274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 9067318-1205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX P8297) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2015-08-20 |