| NPI | 1114926045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35049099) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: OH 35.049099) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2014-02-21 |