| NPI | 1194968123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 45182) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01071665A) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2024-04-18 |