NPI | 1124245063 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: UT 9792129-1205) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NY NY269942,) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2024-12-12 |