| NPI | 1356760292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A148800) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A148800) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2020-10-30 |