| NPI | 1023364890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OK 33833) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE TEP6871) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2019-01-02 |