| NPI | 1578853842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: UT 8986736-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 148840) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA 148840) | |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2021-11-04 |