| NPI | 1346201910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX J3442) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX J3442) |
| 207P00000X Emergency Medicine (Licence: LA 191714) | |
| 207R00000X Internal Medicine (Licence: LA 191714) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2007-07-08 |