NPI | 1225239478 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: LA MD.203075) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN 8549) |
Enumeration Date | 2007-05-29 |
Last Update Date | 2019-07-03 |