| NPI | 1598064255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301104448) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301104448) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2019-04-09 |