| NPI | 1821206236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH 14197) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA08264500) |
| 208000000X Pediatrics (Licence: PA MD424198) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD424198) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NJ 25MA08264500) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2017-11-29 |