| NPI | 1699094029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P1170) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01068027A) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2021-12-20 |