| NPI | 1225266034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 45810) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P6613) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX P6613) | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2018-08-16 |