| NPI | 1629204680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX R9964) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD428984) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD428984) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A91802) | |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2021-11-19 |