| NPI | 1295747483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K9114) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: TX K9114) |
| 207P00000X Emergency Medicine (Licence: AZ 4123) | |
| 207P00000X Emergency Medicine (Licence: FL 057627) | |
| 207P00000X Emergency Medicine (Licence: TX K9114) | |
| 207P00000X Emergency Medicine (Licence: OH 34008945) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2021-01-25 |