| NPI | 1255591707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME138370) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD442821) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NC 2013-01371) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2021-04-20 |