| 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 |