| NPI | 1508023425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX T55239) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA 107823) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 247205) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2022-08-29 |