| NPI | 1215953450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WI 55104) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO 2004018042) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2024-03-01 |