| NPI | 1891037560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TX R9766) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 140363) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA 140363) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10055424) | |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2021-01-11 |