| NPI | 1164624060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN 4453) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2016017156) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO 2016017156) | |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2022-03-29 |