| NPI | 1407802119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M7556) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD422412) |
| 207P00000X Emergency Medicine (Licence: DC MD043229) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2016-03-22 |