| NPI | 1427742618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA 337758) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: LA 337758) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-09-23 |