| NPI | 1225320039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A157984) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A157984) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A157984) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: DC MD040667) | |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2025-10-23 |