| NPI | 1609195981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A112503) |
| Additional Taxonomies | 282NC2000X General Acute Care Hospital, Children (Licence: MD T8182) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A112503) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A112503) | |
| 207RH0005X Internal Medicine, Hypertension Specialist (Licence: CA A112503) | |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2017-01-18 |