| NPI | 1689968778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: PA MD451058) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT199024) |
| 2080P0202X Pediatrics Pediatric Cardiology (Licence: PA MT199024) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2019-10-17 |