| NPI | 1548266216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L2062) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX L2062) |
| 208000000X Pediatrics (Licence: TX L2062) | |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2018-05-11 |