| NPI | 1619321882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: UT 11732650-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2019-01618) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2020-06-05 |