| NPI | 1710115522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01070997A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 6005) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2012-11-01 |