| NPI | 1306157334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P4395) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD446655) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2015-03-09 |