| NPI | 1114304789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX R7121) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX R7121) |
| 208000000X Pediatrics (Licence: TX R72121) | |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2021-05-20 |