| NPI | 1861491862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R0602) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA os013214) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2017-01-23 |