| NPI | 1639374879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR LL16399) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 99058810A) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2013-09-17 |