NPI | 1659577302 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: LA 307774) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IN 11013662A) |
Enumeration Date | 2007-06-21 |
Last Update Date | 2018-05-16 |