| NPI | 1790983625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OR MD192456) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD192456) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2019-05-03 |