| NPI | 1114415882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2022012135) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01086004A) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2022-07-05 |