| NPI | 1104059096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX Q7913) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL TRN13707) |
| 208000000X Pediatrics (Licence: TX Q7913) | |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2023-03-08 |