| NPI | 1891704771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NJ 25MA06894800) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA06894800) |
| 208000000X Pediatrics (Licence: PA MD055281L) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD055281L) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2018-12-03 |