| NPI | 1578616207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.130744) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.024421) |
| 208000000X Pediatrics (Licence: OH 35.130744) | |
| 363AM0700X Physician Assistant, Medical (Licence: CT 001875) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2022-04-20 |