| NPI | 1124361084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX R4033) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX R4033) |
| 208000000X Pediatrics (Licence: MO 2016010934) | |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2023-01-11 |