| NPI | 1790895118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R1148) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA fv3375056) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2017-10-23 |