| NPI | 1003170481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 23804) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS T-2613) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2021-02-15 |