| NPI | 1992146591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 02006521A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0102204125) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2021-08-20 |