| NPI | 1568594224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM 98-342) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX L4064) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2019-11-19 |