| NPI | 1558492744 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MS 19789) | 
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO 2024007992) | 
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KS 04-49001) | |
| 208000000X Pediatrics (Licence: MS 19789) | |
| Enumeration Date | 2007-03-08 | 
| Last Update Date | 2024-03-01 |