| NPI | 1932365509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: KY 47274) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 47274) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2022-05-19 |