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 |