| NPI | 1659315687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX H1925) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX H1925) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX H1925) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2014-02-20 |