| NPI | 1003115403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 46855) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01073533A) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2021-01-19 |