| NPI | 1720516073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MT212664) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT212664) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2020-06-27 |