| NPI | 1417121260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME112644) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX FT42377) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NJ 25MA07770400) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL TRN9235) | |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2023-08-21 |