| NPI | 1609052703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R9888) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI L1172772) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2022-10-23 |