NPI | 1003195934 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NE 27822) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R72680) |
Enumeration Date | 2011-08-09 |
Last Update Date | 2014-08-29 |