| NPI | 1528440476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX T2692) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI MD16711) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2021-09-24 |