| NPI | 1316102379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P5751) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX P5751) |
| 207Q00000X Family Medicine (Licence: GA 003405) | |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2023-05-11 |