| NPI | 1104896323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: IN 01036100A) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01036100A) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2011-08-05 |