| NPI | 1508060302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KY TP377) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY TP377) |
| 208D00000X General Practice (Licence: CA A106407) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-10-14 |