| NPI | 1710306014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R0517) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 301588) |
| 207Q00000X Family Medicine (Licence: TX R0517) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2025-05-19 |