NPI | 1376962373 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MA 292720) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A138992) |
Enumeration Date | 2014-04-08 |
Last Update Date | 2022-08-23 |