| NPI | 1679952741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R6454) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT208791) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2019-10-31 |