NPI | 1356760292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A148800) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA A148800) |
Enumeration Date | 2014-04-08 |
Last Update Date | 2020-10-30 |