| NPI | 1730400128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 64351) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD50001) |
| Enumeration Date | 2010-06-20 |
| Last Update Date | 2022-02-15 |