| NPI | 1912166299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MA 292324) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NY 308139-01) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME107460) | |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2022-06-09 |