| NPI | 1003007857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 35506) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35090285) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2016-05-16 |