NPI | 1154862308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KY 58014) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KY 58014) |
Enumeration Date | 2017-03-20 |
Last Update Date | 2023-08-22 |