| NPI | 1023401247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 02006118A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 1781) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2021-05-12 |