| NPI | 1770574915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MA 155857) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 155857) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2012-07-20 |