| NPI | 1144682261 |
|---|---|
| Former Name | BIANCA PATRICE LAVOILE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO 2020023554) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: PA MD468478) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2022-09-16 |