| NPI | 1770960908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R8429) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX R8429) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2020-04-02 |