| NPI | 1134650625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WA MD486137) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61055568) |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2024-09-05 |