| NPI | 1891773636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD 58694) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX R0821) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2020-01-21 |