| NPI | 1770102519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-16936) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E16936) |
| Enumeration Date | 2020-04-12 |
| Last Update Date | 2025-03-18 |