| NPI | 1104807239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA c54453) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C54453) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2024-04-11 |