NPI | 1003112566 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: VA 0101250592) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101250592) |
208000000X Pediatrics (Licence: VA 0101250592) | |
Enumeration Date | 2011-02-01 |
Last Update Date | 2023-01-17 |