| NPI | 1578504015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: SC 51338) |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: MO 101707) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2021-05-07 |