| NPI | 1750553491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P7797) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD 4083) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2015-05-28 |