| NPI | 1184836868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 252528) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.012509) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2017-03-16 |