| NPI | 1972764082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 66597) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AK 7238) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2023-05-10 |