| NPI | 1255744785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2018006628) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01078371) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2021-03-25 |