| NPI | 1245617075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R6509) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A144693) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2018-07-25 |