| NPI | 1376119222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX PA14376) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA14376) |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2022-02-03 |