| NPI | 1942542857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R4843) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD460104) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2018-12-10 |