| NPI | 1841292638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 68301) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 57149-20) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2024-04-22 |