| NPI | 1760443360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 060337) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX L3874) |
| 207P00000X Emergency Medicine (Licence: AL 1173) | |
| 207Q00000X Family Medicine (Licence: TX L3874) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2014-09-05 |