| NPI | 1649244252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 5124287-1205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 41364) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2024-03-01 |