| NPI | 1982781829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX L4025) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A89448) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2021-12-13 |