| NPI | 1093208837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 4789) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 010054) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2022-08-24 |