| NPI | 1811197106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N6543) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT190805) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2016-01-05 |