| NPI | 1700885522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: AR E-8476) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: TN 01167) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: MS 18191) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2017-09-06 |