| NPI | 1316177066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0102204771) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX P5811) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2022-03-30 |