| NPI | 1063497311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01087411A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 204101) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2025-08-26 |