| NPI | 1154749794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301518313) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301518313) |
| 208000000X Pediatrics (Licence: TN 64782) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN 64782) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2026-08-26 |