| NPI | 1598780926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX L4058) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM 2003-0446) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-02-20 |