| NPI | 1144889171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD477506) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.155237) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2026-04-21 |