| NPI | 1861707150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX Q2315) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL TRN15533) |
| 208000000X Pediatrics (Licence: TX Q2315) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME 113377) | |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2024-12-18 |