| NPI | 1447397062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N0461) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS T-01008) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2010-03-12 |