| NPI | 1124039953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35133417) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01079648A) |
| 208000000X Pediatrics (Licence: CA A49737) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2019-08-26 |