| NPI | 1275828188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN DO2920) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN OT014063) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2022-03-23 |