| NPI | 1134575046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NY 323455-01) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 267163) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WA MD60938671) | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2023-07-18 |