| NPI | 1396823795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A92833) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX P8158) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2018-04-18 |