| NPI | 1396784286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K4146) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: TX K4146) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2012-03-07 |