| NPI | 1871583500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N0198) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N0198) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2012-07-03 |