| NPI | 1013086735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 24906) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 24906) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2024-03-28 |