| NPI | 1083053995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: ND PT15761) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 6990) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2019-07-12 |