| NPI | 1134539885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q5764) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX Q5764) |
| Enumeration Date | 2014-05-03 |
| Last Update Date | 2024-02-17 |