| NPI | 1184689937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX L0586) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX L0586) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX L0586) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2022-11-18 |