| NPI | 1174687099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA 468779) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35-071392) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2023-04-25 |