| NPI | 1376170852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 74422) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 332717) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2026-09-25 |