NPI | 1366699159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX P5860) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX P5860) |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: LA 335104) | |
208000000X Pediatrics (Licence: IL 125.053437) | |
Enumeration Date | 2008-08-22 |
Last Update Date | 2023-06-01 |