| NPI | 1760742654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: TX Q9022) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: UT 12441405-1205) |
| 207P00000X Emergency Medicine (Licence: TX BP10042999) | |
| 207P00000X Emergency Medicine (Licence: OR MD227286) | |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2026-07-10 |