| NPI | 1679722359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WA 60382948) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 246458) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: DC MD040689) | |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2013-09-08 |