| NPI | 1790162618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX U9743) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01080396A) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2024-06-17 |