| NPI | 1750708046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 344875) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ME md24462) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WV 32863) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: ME md24462) | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2025-05-23 |