| NPI | 1912534108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX W3491) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD480448) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX W3491) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2026-02-16 |