| NPI | 1518233329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TX S2993) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 262157) |
| 208000000X Pediatrics (Licence: TX S2993) | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MA 262157) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2022-02-08 |