| NPI | 1669836482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX S0920) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX S0902) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2025-08-05 |