| NPI | 1881608727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L2084) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX L2084) |
| 207P00000X Emergency Medicine (Licence: VA 0101055006) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2011-05-12 |