| NPI | 1831376581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: LA MD.201380) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 201380) |
| 207P00000X Emergency Medicine (Licence: TX M9177) | |
| 208000000X Pediatrics (Licence: TX M9177) | |
| 208000000X Pediatrics (Licence: LA MD.201380) | |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2021-11-15 |