| NPI | 1568840445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX R2648) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX R2648) |
| 208000000X Pediatrics (Licence: AL DO.2586) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AL DO.2586) | |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2024-07-12 |