| NPI | 1689662702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS MD19112) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD39982) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2026-02-24 |