| NPI | 1932323912 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 29404)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01066445A)  | 
| 208000000X Pediatrics (Licence: GA 069966)  | |
| Enumeration Date | 2007-04-12 | 
| Last Update Date | 2013-10-21 |