| NPI | 1922298165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NY MD261249-1) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT191203) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2015-01-14 |