| NPI | 1639312408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX U9624) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX U9624) |
| 208000000X Pediatrics (Licence: TN 48372) | |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2024-03-18 |