| NPI | 1376720771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61392215) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX P3163) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2023-06-02 |