| NPI | 1316212541 |
|---|---|
| Former Name | RANDI PARKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX R6998) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX R6998) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2018-11-21 |