| NPI | 1639228141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J8720) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX J8720) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2016-10-05 |