| NPI | 1376501528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: TX L9724) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX L9724) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX L9724) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-04-24 |