| NPI | 1124180955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 204966) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35-08-0397) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2021-12-21 |