| NPI | 1629253281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P7243) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD.30222) |
| 208000000X Pediatrics (Licence: GA 002728) | |
| 208000000X Pediatrics (Licence: AL MD.30222) | |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2019-04-26 |