| NPI | 1386064566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: TX V1715) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 54875) |
| 208000000X Pediatrics (Licence: NM RS2014-0569) | |
| 208000000X Pediatrics (Licence: IA MD-47393) | |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2024-06-17 |