NPI | 1003003880 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NJ 25MA12172200) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 254441) |
Enumeration Date | 2007-09-26 |
Last Update Date | 2024-04-24 |