| NPI | 1730383316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD.205908) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP1-0018144) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX m6338) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2013-01-22 |