| NPI | 1730131616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX H2298) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX H2298) |
| 207Q00000X Family Medicine (Licence: TX H2298) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-06-23 |