| NPI | 1306837299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: FL ME128997) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N3772) |
| 2080P0202X Pediatrics Pediatric Cardiology (Licence: TX N3772) | |
| 2080P0202X Pediatrics Pediatric Cardiology (Licence: GA 77060) | |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2023-08-21 |