NPI | 1780115618 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX V2279) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2020-00828) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-22 |
Last Update Date | 2024-06-29 |