| NPI | 1033503198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MA 1017111) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 294217-1) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA OS021985) | |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2023-10-05 |