| NPI | 1124248067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036134993) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 48926) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CO 48926) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: no license) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2021-11-30 |