| NPI | 1700022027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NJ 25MA09354400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 247429) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301106902) | |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2023-03-01 |