| NPI | 1689659054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M2376) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M2376) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2026-08-06 |