| NPI | 1124104989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.089043) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301088975) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2022-03-11 |