| NPI | 1376864355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MN 54152) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 54152) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD462318) | |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2022-03-11 |