| NPI | 1629239520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME160363) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WV 26509) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2023-05-22 |