| NPI | 1386963809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q9129) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q9129) |
| 207P00000X Emergency Medicine (Licence: WI 63623) | |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2022-11-18 |