| NPI | 1609860618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L9613) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX L9613) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2012-09-26 |