| NPI | 1003040429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2019-02164) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.099107) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2024-05-21 |