| NPI | 1770683732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01062400A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 61002723) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2015-10-15 |