| NPI | 1134177363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N1995) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX N1995) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2010-01-26 |