| NPI | 1205283488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: WA MD61518748) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61518748) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2024-08-06 |