| NPI | 1093007536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 34.011383) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 172752) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2015-06-02 |