| NPI | 1053560763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: MA 263014) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 263014) |
| 2080P0202X Pediatrics Pediatric Cardiology (Licence: NY 246487) | |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2020-11-16 |