| NPI | 1639603889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 61461) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2024-01006) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2024-08-16 |