| NPI | 1528358124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q1371) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.123694) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2019-03-20 |