| NPI | 1851898720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MT228198) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2022-01155) |
| 208000000X Pediatrics (Licence: NC 2022-01155) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2023-06-26 |