| NPI | 1124088612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 59892) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX J9010) |
| 207Q00000X Family Medicine (Licence: TX J9010) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2020-04-09 |