| NPI | 1124128475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WI 33061) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 33061) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-08-01 |