| NPI | 1912168881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MN 58844) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 11014271A) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2016-02-12 |