| NPI | 1609142959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: MI 4301117003) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2016010900) |
| 208000000X Pediatrics (Licence: MI 4301117003) | |
| 2080P0202X Pediatrics Pediatric Cardiology (Licence: MO 2016010900) | |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2024-10-08 |