| NPI | 1659633980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN 4699) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2019038343) |
| 208000000X Pediatrics (Licence: TN 4699) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO 2019038343) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2022-07-20 |