NPI | 1629496302 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: TX R0551) |
Additional Taxonomies | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: TX R0551) |
208000000X Pediatrics (Licence: TX R0551) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-03-31 |
Last Update Date | 2023-01-19 |