| NPI | 1912007162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: WI 36023) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 36023) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-25 |