| NPI | 1790916435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KS 04-42484) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5315040201) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2024-02-01 |