| NPI | 1992149959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NJ 25MB11070600) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 269374) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2021-10-05 |