| NPI | 1871616227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WA MD00042544) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 66819551205) |
| 208000000X Pediatrics (Licence: WA MD00042544) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2022-08-08 |