| NPI | 1871854745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX 46087) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35-126394) |
| 207P00000X Emergency Medicine (Licence: PR 13188) | |
| 207P00000X Emergency Medicine (Licence: NC 2016-01338) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2018-03-17 |