| NPI | 1366536831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine (Licence: TX J3936) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX J3936) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2011-03-10 |