| NPI | 1285128686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI DOS-2166) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101024196) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2021-12-28 |