| NPI | 1255314506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN 74442) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CT 037210) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2025-10-01 |