| NPI | 1790193688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA C186329) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301109283) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO 2020011879) | |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2023-09-13 |