| NPI | 1063542025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35-085743) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35085743) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2023-11-03 |