| NPI | 1376812404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX p1435) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX p1435) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD451938) | |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2015-05-27 |