| NPI | 1942293600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N6665) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01059538A) |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2010-07-19 |