| NPI | 1316018757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME124427) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WV 19049) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2022-01-28 |