| NPI | 1144497421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: LA 205081) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 205081) |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: LA 205081) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2022-08-19 |