| NPI | 1083686919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101251071) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01065098A) |
| Enumeration Date | 2006-02-04 |
| Last Update Date | 2020-12-07 |