| NPI | 1790963585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N5377) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 246543) |
| 207Q00000X Family Medicine (Licence: TX N5377) | |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2022-05-11 |