| NPI | 1619131901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MA 247133) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR 173472) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OR 173472) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2021-11-22 |