| NPI | 1477130946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MA 1022594) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.250863) |
| 208000000X Pediatrics (Licence: OH 57.250863) | |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2025-06-15 |