| NPI | 1881155158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: UT 12806048-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 7861-851) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2022-04-20 |