| NPI | 1508083346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N3868) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 58002101) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2013-09-18 |