| NPI | 1356560676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX P3721) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX P3721) |
| 207P00000X Emergency Medicine (Licence: OH 35093419) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2012-10-11 |