| NPI | 1164734224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A104137) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A104137) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MT192705) | |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2018-03-17 |