| NPI | 1699181040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 078149) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01093762A) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2024-06-25 |