| NPI | 1316488760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX S5780) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TX s5780) | |
| 208000000X Pediatrics (Licence: TX s5780) | |
| Enumeration Date | 2017-03-18 |
| Last Update Date | 2025-11-19 |