| NPI | 1639434806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MN 63925) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.020854) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2022-05-09 |