| NPI | 1831452796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI MD-18179) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 34915) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2021-06-02 |