NPI | 1881973543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX P0753) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 249869) |
Enumeration Date | 2011-08-12 |
Last Update Date | 2021-11-17 |