| NPI | 1346224094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L7412) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX L7412) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2023-01-19 |