| NPI | 1619074499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX L8224) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301073247) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-04-16 |