| NPI | 1013075852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI MD-20471) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101230921) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2021-06-10 |