| NPI | 1649225129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: SD 4746) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA 35518) |
| 208000000X Pediatrics (Licence: MN 44264) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2021-08-05 |