| NPI | 1316437619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-18198) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX T2115) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2024-09-30 |