| NPI | 1790735124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: TN 32112) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: TN 032112) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2008-03-12 |