| NPI | 1992962864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX Q7389) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 245076) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2023-04-20 |