| NPI | 1497831309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M6869) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2006-01511) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-03-19 |