NPI | 1760682413 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NC MT173838) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT188885T) |
208000000X Pediatrics (Licence: PA MD436553) | |
Enumeration Date | 2007-07-20 |
Last Update Date | 2015-06-19 |