| NPI | 1699054163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: LA 310156) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301096991) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: LA 310156) | |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2023-01-27 |