| NPI | 1790172906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX S9937) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 678005) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX S9937) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-26 |
| Last Update Date | 2024-05-06 |