| NPI | 1629483904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LH0002X Anesthesiology, Hospice and Palliative Medicine (Licence: OH 35.142744) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 20140220075) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.142744) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2022-08-18 |