| NPI | 1720284557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01068101A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2013-01747) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2019-05-09 |