NPI | 1083666374 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX E4623) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX E4623) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2008-06-18 |