| NPI | 1164697603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: FL ME 129092) |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: PA MD445922) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2016-07-12 |