| NPI | 1740415041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PR 18394) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 18394) |
| 208000000X Pediatrics (Licence: TX Q1683) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-05-16 |
| Last Update Date | 2024-09-04 |