| NPI | 1689104283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MT222536) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03975) |
| 208000000X Pediatrics (Licence: RI LP03975) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2021-07-13 |