| NPI | 1184005365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ R2487) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: HI DOS-1914) |
| Enumeration Date | 2015-06-14 |
| Last Update Date | 2025-04-24 |