| NPI | 1528328184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CT 66671) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 279916) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NY 279916) | |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2022-04-14 |