| NPI | 1689695512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M7422) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD17500) |
| 207R00000X Internal Medicine (Licence: TX M7422) | |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2023-09-20 |