| NPI | 1760682413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NC MT173838) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT188885T) |
| 208000000X Pediatrics (Licence: PA MD436553) | |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2015-06-19 |