| NPI | 1457763559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S3677) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX S3677) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2024-09-11 |