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 |