| NPI | 1598745044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101242203) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01054339A) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2023-06-13 |