| NPI | 1497288153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S8350) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX S8350) |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2020-11-09 |