| NPI | 1538629035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-15221) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 250147) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2022-08-09 |