| NPI | 1285617787 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: DE C1-0013492)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 206814)  | 
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NY 206814)  | |
| Enumeration Date | 2005-11-29 | 
| Last Update Date | 2020-05-08 |