| NPI | 1306250600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.132896) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 30722) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2022-09-12 |