| NPI | 1801989389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N2837) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2010-00693) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-10-29 |