| NPI | 1801329958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S8575) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 35491) |
| 207R00000X Internal Medicine (Licence: TX S8575) | |
| 207P00000X Emergency Medicine (Licence: OK 35491) | |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2021-06-14 |