| NPI | 1912265760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WA MD61232884) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MS 24976) |
| 208000000X Pediatrics (Licence: TX U5312) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX U5312) | |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2025-12-24 |