NPI | 1891061180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: CT 68229) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 128821) |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: CT 68229) | |
Enumeration Date | 2012-03-30 |
Last Update Date | 2022-04-14 |