| NPI | 1518145044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 41932) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 11012573A) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2023-09-18 |