| NPI | 1477718674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01069162A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301091843) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2022-10-07 |