| NPI | 1356455042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI MD-17115) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101-237956) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2021-05-26 |