| 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 |