| NPI | 1225327992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 53138) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125060364) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KY TP648) | |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2020-10-29 |