| NPI | 1265486344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX m3360) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 025074) |
| 208600000X Surgery (Licence: TX M3360) | |
| 208D00000X General Practice (Licence: TX M3360) | |
| Enumeration Date | 2006-05-21 |
| Last Update Date | 2016-12-28 |