| NPI | 1437537321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX R6350) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX R6350) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10054050) | |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2022-06-27 |