| NPI | 1417202177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX R8727) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO 2015022388) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KS 04-37910) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IN 01070220A) | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2019-06-25 |