| NPI | 1225265564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX Q1905) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 253478) |
| Enumeration Date | 2009-06-13 |
| Last Update Date | 2014-10-01 |