| NPI | 1396762068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M1830) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 35167) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-11-08 |