| NPI | 1073993424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX T0394) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 208000000X) |
| 208000000X Pediatrics (Licence: TX T0394) | |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2022-04-19 |