| NPI | 1699152215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R0995) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10053751) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2017-04-05 |