| NPI | 1053555326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ID M-12942) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35-099251) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2016-11-10 |