| NPI | 1174817456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.135634) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX Q0046) |
| Enumeration Date | 2011-06-04 |
| Last Update Date | 2021-10-29 |