| NPI | 1164457586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M0597) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: TX M0597) |
| 207P00000X Emergency Medicine (Licence: TX M0597) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2015-01-26 |