| NPI | 1598100067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX S0289) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 006987) |
| 208000000X Pediatrics (Licence: TX S0289) | |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2021-05-05 |