| NPI | 1942862610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301506891) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT218188) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2022-07-05 |