| NPI | 1639127087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N4203) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35084955) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2021-10-28 |