| NPI | 1083856884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ND 12673) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01071158A) |
| 208000000X Pediatrics (Licence: KY 44987) | |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2020-10-13 |