| NPI | 1801808555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX n2214) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 231074) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2013-03-21 |