| NPI | 1831486992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 23006) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS T-2497) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2013-12-16 |