| NPI | 1972589760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M7369) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35086336) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2008-06-18 |