| NPI | 1629214119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P8249) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 2601991) |
| 207P00000X Emergency Medicine (Licence: PA MD445074) | |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2014-08-12 |