| NPI | 1265667687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: MI 4301102233) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 156845) |
| 207R00000X Internal Medicine (Licence: MI 4301102233) | |
| 208000000X Pediatrics (Licence: MI 4301102233) | |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2016-08-02 |