| NPI | 1376769695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60086288) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.012113) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX P3977) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2013-05-03 |