| NPI | 1174713010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WA MD60147877) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML20008969) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2018-06-07 |