| NPI | 1023221918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35-093041) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.011498) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2010-08-25 |