| NPI | 1871798959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P0228) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA 390200000X) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2012-05-24 |