| NPI | 1790031698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX R7312) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301101367) |
| Enumeration Date | 2012-07-28 |
| Last Update Date | 2018-10-01 |