| NPI | 1871989236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: NY 318628-01) |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: MA 274285) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2023-03-07 |