| NPI | 1134562937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2016011494) |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: CO DR.0058340) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2017-04-11 |