| NPI | 1265405468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 48935) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 051725) |
| 208000000X Pediatrics (Licence: SC TL28480) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2019-12-18 |