| NPI | 1003109323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.120776) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.017802) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2013-11-14 |