| NPI | 1881804672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.132431) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT188358T) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KY 50941) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2018-03-17 |