| NPI | 1154618619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME158753) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 303946) |
| 208000000X Pediatrics (Licence: FL ME158753) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: LA 303946) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: LA 303946) | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2023-08-21 |