| NPI | 1932769346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 69456) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL82853) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2024-08-13 |