| NPI | 1487035150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX T8584) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX T8584) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2022-08-03 |