| 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 |