| NPI | 1417222779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: CA C188579) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C188579) |
| 2080P0202X Pediatrics Pediatric Cardiology (Licence: MI 4301094394) | |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2024-04-11 |