| NPI | 1336135094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TX P0211) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 025008) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2023-11-27 |