| NPI | 1508228503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S0937) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-11839) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2020-05-07 |