| NPI | 1386828655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N2816) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 002227) |
| Enumeration Date | 2007-12-22 |
| Last Update Date | 2013-07-28 |