| NPI | 1487880795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX Q4852) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 250082) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2021-11-05 |