| NPI | 1366705501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO 2021009636) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 56472) |
| 208000000X Pediatrics (Licence: MO 2021009636) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MN 56472) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2022-08-16 |