| NPI | 1194160879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD482981) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.148894) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2025-01-02 |