| NPI | 1396768198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX L4153) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 43017074190) |
| 207P00000X Emergency Medicine (Licence: TX L4153) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2025-07-31 |