| NPI | 1114126679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 48986) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 390200000X) |
| Enumeration Date | 2007-07-15 |
| Last Update Date | 2010-07-06 |