| NPI | 1215131115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N8123) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N8123) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TX N8123) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2011-09-21 |