| NPI | 1538485784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P6088) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 164532) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2019-01-18 |