| NPI | 1982043741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-15464) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD175837) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2022-07-15 |