| NPI | 1588919963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q9364) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301101084) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2017-11-10 |