| NPI | 1376168807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 74457) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 11928) |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2025-07-29 |