| NPI | 1598033474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TX Q3042) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA 60937607) |
| 208000000X Pediatrics (Licence: TX Q3042) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2022-05-24 |