| NPI | 1174750715 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: DC MD044566)  | 
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 57.020791)  | 
| Enumeration Date | 2009-06-22 | 
| Last Update Date | 2021-09-13 |