| NPI | 1285074799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IA R-10820) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 19324) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2021-06-09 |