| NPI | 1861712358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WI 75643-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2016011395) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO 2016011395) | |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2021-09-22 |