| NPI | 1780025569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CO DR.0068394) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2013018989) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2022-08-04 |