| NPI | 1548412000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01070358A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301092714) |
| 208000000X Pediatrics (Licence: IL 036.128761) | |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2012-05-15 |