| NPI | 1790756518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: CA G88440) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G88440) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2011-09-19 |