| NPI | 1760693345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD28431) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 11012652A) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2025-08-15 |