| NPI | 1700029741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX U0157) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 11014722A) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2022-10-06 |