| NPI | 1831188911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 21076) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX J4757) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2019-05-13 |