| NPI | 1255622759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 054026) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX N9441) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2015-09-10 |