| NPI | 1053564617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301104293) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.095877) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2023-06-23 |