| NPI | 1295041713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: LA 338182) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2015-02153) |
| 208000000X Pediatrics (Licence: NM MD2023-1050) | |
| 208000000X Pediatrics (Licence: VA 0101256192) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NM MD2023-1050) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX Q9629) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A117122) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: VA 0101256192) | |
| Enumeration Date | 2010-08-21 |
| Last Update Date | 2023-09-07 |