| NPI | 1356373138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P7955) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 38945) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2013-09-18 |