| NPI | 1356874689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: OR MD198726) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD198726) |
| 208000000X Pediatrics (Licence: WA ML60760397) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2023-06-29 |