| NPI | 1538139332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 49763) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX G6228) |
| 207P00000X Emergency Medicine (Licence: WI 49763) | |
| 207Q00000X Family Medicine (Licence: TX G6228) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2022-11-17 |