| NPI | 1578518932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: MO 115937) |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: KS 31289) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-07-08 |