| NPI | 1902191521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A140436) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01074164A) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2022-11-02 |