| NPI | 1316205388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S7182) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD455662) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2020-07-14 |