| NPI | 1104052778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 277037) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 241114) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NY 277037) | |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2022-08-15 |