| NPI | 1629323746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KY 49619) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KY TP234) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A118429) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A118429) | |
| Enumeration Date | 2012-07-14 |
| Last Update Date | 2017-12-19 |