| NPI | 1679747935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX 43986) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01069736A) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2012-10-17 |