| NPI | 1679737068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX v0978) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL OS16626) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO DR.0054263) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: LA 330112) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AZ 009919) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: GA 102140) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2025-10-28 |