| NPI | 1578763793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WV 28160) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301089379) |
| 208000000X Pediatrics (Licence: IL 036.128534) | |
| 208000000X Pediatrics (Licence: MI 4301089379) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MS 23172) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2022-07-21 |