| NPI | 1992771042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX J9743) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX J9743) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2021-05-13 |