| NPI | 1780789131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX K4328) |
| Additional Taxonomies | 207QP0002X Family Medicine, Physician Nutrition Specialist (Licence: TX KJ4328) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2026-01-05 |