NPI | 1588950307 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TN 61149) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MA 269920) |
Enumeration Date | 2011-06-20 |
Last Update Date | 2022-03-31 |