| NPI | 1922453190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 59213) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101266890) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2024-01-18 |