| NPI | 1053671669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WV 2950) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.012256) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2026-01-27 |