NPI | 1588009955 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX S2182) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NC 2016-00578) |
Enumeration Date | 2013-04-30 |
Last Update Date | 2020-11-30 |