| NPI | 1215960398 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q6721)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 36519)  | 
| 208000000X Pediatrics (Licence: TN MD36519)  | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX Q6721)  | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NM MD2007-0050)  | |
| Enumeration Date | 2006-07-09 | 
| Last Update Date | 2024-05-22 |