| NPI | 1245499235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M9810) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101243668) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2012-02-13 |