| NPI | 1508980327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N2055) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 29025) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2011-03-09 |