| NPI | 1689985780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P6357) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A117775) |
| 207P00000X Emergency Medicine (Licence: TX P6357) | |
| 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: TX P6357) | |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2022-12-20 |