| NPI | 1629210315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01072579A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 44964) |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2021-11-18 |