| NPI | 1518304971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2016013267) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10047338) |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2020-08-13 |