| NPI | 1366621492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX 207P00000X) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 17459) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2024-07-26 |