| NPI | 1104246511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX S0250) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 46040) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2022-07-21 |