| NPI | 1114105038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX S2852) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 046155) |
| 208000000X Pediatrics (Licence: AR E-11454) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AR E-11454) | |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2020-11-27 |