| NPI | 1063476497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35069785) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: OH 35069785) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2011-04-13 |