| NPI | 1447755269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 63227) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 29182) |
| 208000000X Pediatrics (Licence: MN 65892) | |
| Enumeration Date | 2018-03-25 |
| Last Update Date | 2022-03-28 |