| NPI | 1457841801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX T7334) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 63333) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2022-07-14 |