| NPI | 1568782449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P7585) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX P7585) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2015-08-12 |