| NPI | 1003112566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: VA 0101250592) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101250592) |
| 208000000X Pediatrics (Licence: VA 0101250592) | |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2023-01-17 |