| NPI | 1700916988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N5965) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2009-00477) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2019-11-27 |