| NPI | 1760432397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01069711A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD053599L) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2013-07-30 |