| NPI | 1801299425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX S2670) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 14169) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX S2670) | |
| Enumeration Date | 2014-09-28 |
| Last Update Date | 2024-06-26 |