| NPI | 1255542197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX 0000) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX N3983) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2024-09-19 |