| NPI | 1417344136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 56420) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX r6033) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2023-05-01 |