| NPI | 1366767188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 256673-1) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX R2540) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2022-07-11 |