| NPI | 1306522057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 3208) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NE 3208) |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2025-11-24 |