| NPI | 1023274164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P1839) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.009397) |
| 207R00000X Internal Medicine (Licence: TX P1839) | |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2023-05-18 |