| NPI | 1790732931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX H7018) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AL 00018909) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2021-05-11 |