| NPI | 1013966837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L4197) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX L4197) |
| 207Q00000X Family Medicine (Licence: IN 01048545A) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2023-07-13 |