| NPI | 1912927096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 41042) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101234705) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2025-11-17 |