| NPI | 1568677045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CO 48054) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX R0311) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2023-02-20 |