| NPI | 1649430364 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A112061)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A112061)  | 
| Enumeration Date | 2008-06-16 | 
| Last Update Date | 2023-07-13 |