| NPI | 1376854422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CT 56318) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT197577) |
| 208000000X Pediatrics (Licence: MI 4301108945) | |
| 208000000X Pediatrics (Licence: CT 56318) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301108945) | |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2017-04-06 |