| NPI | 1194941112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: OH 35.095019) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35095019) |
| 208000000X Pediatrics (Licence: OH 35095019) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2022-02-14 |