NPI | 1205101300 |
---|---|
Former Name | TARA ELIZABETH CHUMBRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35-123086) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.123086) |
Enumeration Date | 2012-03-21 |
Last Update Date | 2025-04-21 |