| NPI | 1790877207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101253646) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01048770) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2013-10-09 |