| NPI | 1750694196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P5757) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD447073) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2013-07-15 |