| NPI | 1215379987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX R3502) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2016013259) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2016013259) | |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2018-10-02 |