| NPI | 1912393604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A162194) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX R6858) |
| 208000000X Pediatrics (Licence: CA A162194) | |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2023-10-13 |