| NPI | 1205148681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A149944) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A149944) |
| 208000000X Pediatrics (Licence: MI 4301102334) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301102334) | |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2018-03-17 |