| NPI | 1174611156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX K9289) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101240545) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2013-02-20 |