| NPI | 1639488786 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX Q8609) | 
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TX Q8609) | 
| 208000000X Pediatrics (Licence: NY 263989) | |
| Enumeration Date | 2010-10-06 | 
| Last Update Date | 2021-01-19 |