| NPI | 1790916435 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KS 04-42484) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5315040201) | 
| Enumeration Date | 2009-07-29 | 
| Last Update Date | 2025-01-23 |