| NPI | 1053761445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301509739) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116029668) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.136455) | |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2023-09-05 |