| NPI | 1780675231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 208000000X) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MA 2080P0202X) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2015-04-10 |