NPI | 1558773119 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: KS 04-39884) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IN 390200000) |
Enumeration Date | 2014-05-29 |
Last Update Date | 2022-07-21 |