| NPI | 1659699346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: TX R3158) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.011345) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2021-05-06 |