| NPI | 1689761231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI MD-22337) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 48808) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2023-03-07 |