NPI | 1740335405 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NJ 25MA05860500) |
Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA058605) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2024-05-20 |