| NPI | 1740473727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N8516) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101017511) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2011-10-24 |