| NPI | 1275760530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P3257) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 538325) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2024-05-29 |