| NPI | 1609885854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N1021) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2006016777) |
| 207P00000X Emergency Medicine (Licence: CA 20A10106) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2012-09-14 |