| NPI | 1265429211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX L2090) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AK 5193) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2008-02-28 |