| NPI | 1790963809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX N1662) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N1662) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: GA 001427) | |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2018-12-11 |