| NPI | 1609834084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M4006) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD60187261) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2021-04-05 |