| NPI | 1811949290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M0995) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX M0995) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: TX Mo995) | |
| 207QA0505X Family Medicine, Adult Medicine (Licence: TX M0995) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2022-07-02 |