| NPI | 1124220462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MN 49537) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: ND 18717) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2023-03-22 |