| NPI | 1407042435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD.204975) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01063660A) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2019-03-22 |