| NPI | 1629483094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD470052) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.024073) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2022-04-12 |