| NPI | 1598763617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX m1378) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M1378) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2016-07-12 |