| NPI | 1285618280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX U8474) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 38607) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2024-02-29 |