| NPI | 1679553499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX J2238) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX J2238) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2009-08-28 |