| NPI | 1013111681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N0125) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX N0125) |
| 204R00000X Electrodiagnostic Medicine (Licence: TX N0125) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2012-03-05 |