| NPI | 1164658084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX P3128) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P3128) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NM MD2015-0151) | |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2022-07-21 |