| NPI | 1912944034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M4319) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 116734) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2015-10-28 |