| NPI | 1205300126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22007439A) |
| Additional Taxonomies | 207ZP0213X Pathology, Pediatric Pathology (Licence: IN 46003497A) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2020-02-21 |