| NPI | 1902078652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301087722) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301087722) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2012-06-27 |