| NPI | 1336465764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 46316) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01072143A) |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2018-08-08 |