| NPI | 1760863237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI DOS1764) |
| Additional Taxonomies | 208D00000X General Practice (Licence: HI DOS1764) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2023-12-13 |