| NPI | 1811979875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS012665) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 02004254A) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2023-05-17 |