| NPI | 1578191714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX W4873) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD480620) |
| 208000000X Pediatrics (Licence: TX W4873) | |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2026-07-22 |