| NPI | 1609133180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101274088) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX Q4979) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2022-02-23 |