| NPI | 1962841908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S2650) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 289592) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2019-07-15 |