| NPI | 1235216508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KY TP651) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MD D55138) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: DC MD32282) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: VA 0101840535) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2025-01-09 |