| NPI | 1750764056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NE 7468) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IA 2080P0202X) |
| Enumeration Date | 2015-07-04 |
| Last Update Date | 2025-12-05 |