| NPI | 1073992525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: GA 89537) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT208980) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2022-04-28 |