| NPI | 1750648143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX Q9785) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 27669) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208000000X Pediatrics (Licence: NE 27669) | |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2021-08-31 |