NPI | 1003992686 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: VA 0101272856) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN 42283) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2022-04-25 |