| NPI | 1114455276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: MI 4301511470) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT212911) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2024-08-06 |