| NPI | 1740490325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N0570) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 57010944) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-01-02 |