| NPI | 1750708046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: ME md24462) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WV 32863) |
| 208000000X Pediatrics (Licence: ME md24462) | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2023-10-06 |