| NPI | 1003198086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CT 56779) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL TRN15994) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2022-07-21 |