| NPI | 1659338010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME 018725) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX M1839) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2022-03-21 |