| NPI | 1750662136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q2180) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI AW3068978-3024) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2021-01-11 |