| NPI | 1588161061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 88236) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01085801A) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2022-07-28 |