| NPI | 1053610311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 55433) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 55433) |
| 208000000X Pediatrics (Licence: OH 120720) | |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2024-12-30 |