| NPI | 1831295112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI MD-18729) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A062138) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2021-06-02 |