| NPI | 1366475261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX K8957) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 34804) |
| 207Q00000X Family Medicine (Licence: TX K8957) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-01-26 |