| NPI | 1881718641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301085447) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD436422) |
| 208000000X Pediatrics (Licence: MI 4301085447) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-02-21 |