| NPI | 1699096966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q1665) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX Q1665) |
| 207P00000X Emergency Medicine (Licence: SC MMD.32754 LL) | |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2025-09-05 |