| NPI | 1306131222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine Medical Toxicology (Licence: TX R1907) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX R1907) |
| 207P00000X Emergency Medicine (Licence: FL ME119240) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2021-08-18 |