| NPI | 1811262843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01027769A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL me60668) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2023-06-16 |