| NPI | 1710051735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX j6782) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX J6782) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-05-07 |