| NPI | 1023435120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: OH 35.129298) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.129298) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2022-02-15 |