| NPI | 1770936882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX S0790) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX S0790) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2023-07-31 |