| NPI | 1295393783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX U2443) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP04578) |
| 207R00000X Internal Medicine (Licence: RI LP04578) | |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2023-06-23 |