NPI | 1578572590 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA C156703) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA04296500) |
208000000X Pediatrics (Licence: PA MD033251E) | |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: NJ 25MA04296500) | |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD033251E) | |
Enumeration Date | 2006-08-07 |
Last Update Date | 2020-09-23 |