| NPI | 1376727768 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 121406)  | 
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KY 47752)  | 
| Enumeration Date | 2007-12-21 | 
| Last Update Date | 2017-04-03 |