| NPI | 1184030496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 55517) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-10589) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2022-07-21 |