| NPI | 1093057366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KS 04-43451) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 57062) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO 2020027017) | |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2025-02-12 |