NPI | 1598055840 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD443048) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA09538000) |
208000000X Pediatrics (Licence: PA MD443048) | |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: NJ 25MA09538000) | |
Enumeration Date | 2011-04-07 |
Last Update Date | 2024-05-22 |