| NPI | 1770945677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MT224887) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 278141) |
| 208000000X Pediatrics (Licence: CT 65164) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2022-06-24 |