| NPI | 1366772154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N4028) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A119539) |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2022-12-30 |