| NPI | 1861508194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J2338) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX J2338) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2016-10-11 |