| NPI | 1790103216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AR E-14172) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-14172) |
| 208000000X Pediatrics (Licence: FL ME131898) | |
| 208M00000X Hospitalist (Licence: FL ME131898) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2021-09-10 |