| NPI | 1467650119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 6626900-1205) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: UT 6626900-1205) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: OR MD29426) | |
| Enumeration Date | 2007-07-04 |
| Last Update Date | 2023-11-20 |