| NPI | 1598074528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX R6368) |
| Additional Taxonomies | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: TX R6368) |
| 208000000X Pediatrics (Licence: MI 4301096540) | |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2021-09-01 |