| NPI | 1821089459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 30457) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01054930A) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2010-05-19 |