| NPI | 1083190136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A176493) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301114693) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2022-06-16 |