| NPI | 1114122017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: ME MD27189) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: IN 01068381) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2023-09-26 |