| NPI | 1821471160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: TX R2412) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 283556) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2020-12-07 |