| NPI | 1639360811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P6362) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX P6362) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NC 2010-01200) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2024-03-12 |