| NPI | 1124415419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 64990) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D85321) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2022-07-20 |