| NPI | 1548228646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME149907) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 51961) |
| 208000000X Pediatrics (Licence: FL ME149907) | |
| 208000000X Pediatrics (Licence: NC 2018-00180) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2022-07-21 |