| NPI | 1003252800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A165551) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.) |
| 208000000X Pediatrics (Licence: OH 35.129379) | |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2024-04-10 |