| NPI | 1912900903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35-088537) |
| Additional Taxonomies | 174400000X Specialist (Licence: KY 35904) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2011-07-06 |