| NPI | 1639325806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: TX Q4653) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX Q4653) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2015-08-18 |