| NPI | 1790190478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX R6904) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: TX NNCC7693) |
| 208M00000X Hospitalist (Licence: TX R6904) | |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2025-04-02 |