| NPI | 1255750428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: SC 40729) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 40729) |
| 208M00000X Hospitalist (Licence: SC 40729) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2021-01-27 |