NPI | 1356480966 |
---|---|
Former Name | HEATHER MICHELE TRIPP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: SC 29630) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA 3340) |
208000000X Pediatrics (Licence: GA 66185) | |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: SC 29630) | |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: NC 2012-00618) | |
208000000X Pediatrics (Licence: AL 27802) | |
Enumeration Date | 2007-02-06 |
Last Update Date | 2022-02-18 |