| NPI | 1144424698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35090525) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WV 26238) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2022-09-13 |