NPI | 1699116178 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NY 287139-01) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301102869) |
Enumeration Date | 2013-07-11 |
Last Update Date | 2024-01-23 |