| NPI | 1720069719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 209404) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MA 209404) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2007-07-08 |