NPI | 1295099497 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CT 63959) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.061915) |
Enumeration Date | 2012-07-02 |
Last Update Date | 2019-08-29 |