| NPI | 1902538416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX W5566) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX W5566) |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2026-06-18 |