| NPI | 1164488813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 3507827) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35078270) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2012-04-12 |