| NPI | 1861835423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q2521) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME135654) |
| Enumeration Date | 2013-04-14 |
| Last Update Date | 2022-05-02 |