| NPI | 1588042907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R6894) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM RS2015-0480) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2019-10-09 |