| 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 |