| NPI | 1114959905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P1837) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD055963L) |
| 207P00000X Emergency Medicine (Licence: OK 25964) | |
| 207Q00000X Family Medicine (Licence: TX P1837) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2014-08-26 |