| NPI | 1801233812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX V2358) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 075601) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2024-09-17 |