| NPI | 1871739722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 306684) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX P3403) |
| 207P00000X Emergency Medicine (Licence: PA mt190390) | |
| 207R00000X Internal Medicine (Licence: PA mt190390) | |
| Enumeration Date | 2008-12-24 |
| Last Update Date | 2017-09-27 |