| NPI | 1023008356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.063104) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 35063104O) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2011-09-22 |