| NPI | 1124552286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX U8446) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 6510) |
| Enumeration Date | 2017-04-16 |
| Last Update Date | 2024-11-04 |