| NPI | 1568758308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60789803) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX Q0529) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2021-04-28 |