| NPI | 1629495049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AZ 69234) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2016018182) |
| 208000000X Pediatrics (Licence: CO DR.0064031) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.142585) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2023-08-29 |