| NPI | 1598724502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01058950A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 38514) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2011-09-20 |