| NPI | 1346509254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q1787) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX Q7187) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2019-07-30 |