| NPI | 1811254006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MT207882) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD454397) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NY 317460) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: VT 042-0016154) | |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2022-09-14 |