| NPI | 1588681100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX H6950) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 019957) |
| 207P00000X Emergency Medicine (Licence: MS 12992) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2015-07-18 |