| NPI | 1841780806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX T4443) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207P00000X Emergency Medicine (Licence: UT 12142183-1205) | |
| 207Q00000X Family Medicine (Licence: TX T4443) | |
| 207Q00000X Family Medicine (Licence: UT 12142183-1205) | |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2022-02-14 |