| NPI | 1750657938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S5419) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT018098) |
| 207Q00000X Family Medicine (Licence: TX S5419) | |
| Enumeration Date | 2012-04-01 |
| Last Update Date | 2023-12-20 |