| NPI | 1255861597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AZ 63458) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 125.070920) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2025-12-19 |