NPI | 1134184104 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: OH 35066489) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35066489) |
Enumeration Date | 2006-04-20 |
Last Update Date | 2021-11-03 |