| NPI | 1174822670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: OH 35.120507) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.120507) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2023-10-15 |