| NPI | 1578908679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R8596) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 266715) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2021-06-25 |