| NPI | 1417302613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN DO3726) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0102205612) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2024-01-25 |