| NPI | 1174361133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: MI 4704319351) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704319351) |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-09-12 |