| NPI | 1386811438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N5801) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A105682) |
| 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: TX N5801) | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2024-08-20 |