| NPI | 1154583060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 02004197A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 21650) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2014-11-14 |