| NPI | 1639339302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P3015) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101019536) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2012-08-15 |