| NPI | 1376995985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD466685) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD466685) |
| 208000000X Pediatrics (Licence: MI 4301501745) | |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2023-10-09 |