| NPI | 1225019912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101254023) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01056051A) |
| 208000000X Pediatrics (Licence: GA 66478) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2023-09-14 |