| NPI | 1801943774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WA MD60255706) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN MD0000046219) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2012-01-03 |