| NPI | 1437140894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MA 76645) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 76645) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2011-10-14 |