| NPI | 1255395000 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX K8836) | 
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX K8836) | 
| 207P00000X Emergency Medicine (Licence: TX K8836) | |
| Enumeration Date | 2006-04-17 | 
| Last Update Date | 2025-07-16 |