| NPI | 1033519855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA LISSETT CASAMALHUAPA CALDERON CEO / Medical Director 703-485-0470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-29 |