| NPI | 1700346863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KY 60356) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 87464) |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2025-06-09 |