| NPI | 1659547982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NY 249325) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 249325) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A87952) | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2013-03-26 |