| NPI | 1154684355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E8294) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q4269) |
| 207Q00000X Family Medicine (Licence: AR E8294) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2019-01-23 |