| NPI | 1053538629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 59846) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.089137) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2022-12-28 |