| NPI | 1770016636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 5101026148) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101026148) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2025-12-01 |