| NPI | 1215953666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J7303) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 8290) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2025-01-14 |