| NPI | 1861831760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA OP60622568) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10045857) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2021-09-03 |