| NPI | 1194041749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 34-012996) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS016446) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2020-12-14 |