| NPI | 1013144450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: UT 11260386-8905) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 128528) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208000000X Pediatrics (Licence: OH 128528) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AZ 54407) | |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2021-11-11 |