| NPI | 1164001269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 125.077667) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.017269) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2024-06-12 |