| NPI | 1245519453 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH 21647) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01074429A) | 
| Enumeration Date | 2011-08-05 | 
| Last Update Date | 2021-07-12 |