| NPI | 1427314947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 309200000x) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX q8123) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2022-02-11 |