| NPI | 1811916125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: MN 36353) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 36353) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2023-08-28 |