| NPI | 1326661745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 5101027417) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL83200) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2023-07-03 |