| NPI | 1538111810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K4785) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX K4785) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2015-05-19 |