| NPI | 1255794335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX R7992) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX R7992) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2023-12-03 |