| NPI | 1114978798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01054193A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35077875) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2023-02-15 |