| NPI | 1851390371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2010-02025) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01053709A) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2015-03-19 |