NPI | 1790193688 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA C186329) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301109283) |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO 2020011879) | |
Enumeration Date | 2014-07-24 |
Last Update Date | 2023-09-13 |