NPI | 1407101827 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX P2762) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX P2762) |
Enumeration Date | 2012-07-23 |
Last Update Date | 2023-11-22 |