| NPI | 1053707844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 2080N0001X) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 2080N001x) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2024-01-11 |