| NPI | 1760538359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MN 65245) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 49162) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2019-12-31 |