| NPI | 1063562973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01082422A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 29393) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2023-04-20 |