NPI | 1750708046 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: LA 344875) |
Additional Taxonomies | 208000000X Pediatrics (Licence: ME md24462) |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: WV 32863) | |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: ME md24462) | |
Enumeration Date | 2014-03-25 |
Last Update Date | 2025-05-23 |