| NPI | 1508801952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0102204715) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD H0062862) |
| 207P00000X Emergency Medicine (Licence: TX P0880) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2018-06-28 |