| NPI | 1760427371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: TX S8946) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX S8946) |
| 2080P0202X Pediatrics Pediatric Cardiology (Licence: MO 2017023644) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2022-04-21 |