| NPI | 1922138460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P8798) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 127719) |
| 207P00000X Emergency Medicine (Licence: NC 2008-00764) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2018-04-03 |