| NPI | 1265636047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N3940) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX N3940) |
| 208600000X Surgery (Licence: TX N3940) | |
| 208D00000X General Practice (Licence: TX N3940) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2024-09-05 |