NPI | 1205973526 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: UT 10549383-1205) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD P19132) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2021-11-09 |