| NPI | 1558866616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX V5323) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 312446) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TX V5323) | |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NY 312446) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2025-09-08 |