| NPI | 1598754657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L3059) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX L3059) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2025-12-02 |